Individual
RICHARD BRUCE CHAFFEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
590 TRAVERSE DR, COSTA MESA, CA 92626-3117
(714) 559-9171
Mailing address
151 KALMUS DR STE 220, COSTA MESA, CA 92626-5988
(714) 559-9171
(714) 545-4180
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
684210
CA
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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